| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
$29 |
$71 |
$54 |
$51 |
| Abdominal fluid drain (paracentesis) |
$143 |
$571 |
$927 |
$284 |
| Abdominal ultrasound |
$87 |
$173 |
$107 |
$100 |
| Abscess incision and drainage |
$68 |
$186 |
$234 |
$174 |
| Acupuncture |
$27 |
$53 |
$30 |
$38 |
| Albumin blood test |
$8 |
$31 |
$25 |
$5 |
| Allergy shots |
$13 |
$40 |
$43 |
$11 |
| Alpha-fetoprotein (AFP) test |
$26 |
$104 |
$82 |
$17 |
| ALT liver enzyme test |
$8 |
$33 |
$26 |
$5 |
| Annual physical (established patient) |
$55 |
$219 |
$119 |
— |
| Annual physical (new patient) |
$79 |
$196 |
$118 |
— |
| Anoscopy |
$33 |
$66 |
$136 |
$129 |
| Arterial blood gas (ABG) |
$40 |
$161 |
$128 |
$26 |
| AST liver enzyme test |
$14 |
$54 |
$43 |
$5 |
| Barium swallow study |
$104 |
$414 |
$179 |
$107 |
| Bartholin cyst removal |
$57 |
$154 |
$207 |
$182 |
| Bilirubin blood test |
$8 |
$19 |
$24 |
$5 |
| Bladder function test (urodynamics) |
$113 |
$226 |
$579 |
$345 |
| Blood clotting test (PT/INR) |
$12 |
$47 |
$37 |
$4 |
| Blood glucose test |
$6 |
$24 |
$19 |
$5 |
| BNP (heart failure) test |
$61 |
$243 |
$192 |
$39 |
| Bone scan (nuclear) |
$161 |
$606 |
$408 |
$259 |
| Botox for migraine |
$124 |
$306 |
$314 |
$157 |
| Brain shunt (VP shunt) |
$336 |
$671 |
$1,670 |
$1,023 |
| Breast ultrasound |
$62 |
$137 |
$91 |
$92 |
| Breathing tube insertion (intubation) |
$51 |
$173 |
$242 |
$133 |
| Burn treatment |
$43 |
$113 |
$205 |
$129 |
| Capsule endoscopy |
$586 |
$1,171 |
$445 |
$802 |
| Cardiac event monitor |
$168 |
$336 |
$210 |
$170 |
| Cardiac MRI |
$208 |
$415 |
$194 |
$322 |
| Cardiac rehabilitation |
$26 |
$51 |
$132 |
$26 |
| Carotid artery ultrasound |
$111 |
$273 |
$159 |
$156 |
| CEA tumor marker test |
$46 |
$182 |
$144 |
$19 |
| Celiac disease test |
$12 |
$48 |
$38 |
$12 |
| Cesarean section (C-section) |
$7,327 |
$29,308 |
$14,017 |
$7,552 |
| Chemotherapy infusion |
$145 |
$456 |
$197 |
$81 |
| Chest fluid drain (thoracentesis) |
$153 |
$612 |
$641 |
$311 |
| Chest X-ray |
$29 |
$62 |
$67 |
$37 |
| Chickenpox (varicella) vaccine |
$113 |
$225 |
$180 |
— |
| Chiropractic adjustment |
$17 |
$33 |
$26 |
$38 |
| Colon resection (colectomy) |
$308 |
$616 |
$1,735 |
$1,238 |
| Colonoscopy |
$169 |
$365 |
$710 |
$480 |
| Colposcopy |
$67 |
$158 |
$311 |
$161 |
| Complete blood count (CBC) |
$10 |
$40 |
$32 |
$7 |
| Complex wound repair |
$169 |
$338 |
$755 |
$390 |
| Comprehensive eye exam |
$79 |
$158 |
$101 |
$138 |
| Contact lens fitting |
$78 |
$155 |
$77 |
— |
| Continuous glucose monitor setup |
$26 |
$69 |
$55 |
$35 |
| Contraceptive implant (Nexplanon) |
$48 |
$96 |
$456 |
$115 |
| Coronary artery bypass (CABG) |
$52,123 |
$208,491 |
$79,972 |
$36,593 |
| Coronary CT angiography |
$272 |
$543 |
$356 |
$326 |
| Cortisol test |
$15 |
$60 |
$45 |
$16 |
| COVID-19 PCR test |
$79 |
$317 |
$251 |
$51 |
| CPAP titration study |
$65 |
$130 |
$224 |
$69 |
| Craniotomy (brain surgery) |
$1,907 |
$3,814 |
$3,572 |
$2,161 |
| CT angiography of the chest |
$302 |
$1,123 |
$179 |
$281 |
| CT angiography of the head |
$262 |
$967 |
$179 |
$274 |
| CT scan of the arm |
$203 |
$405 |
$188 |
$199 |
| CT scan of the leg |
$167 |
$610 |
$179 |
$166 |
| CT scan of the neck |
$154 |
$309 |
$179 |
$183 |
| CT scan of the sinuses |
$175 |
$641 |
$179 |
$152 |
| D-dimer test |
$16 |
$63 |
$50 |
$10 |
| Diagnostic mammogram |
$79 |
$158 |
$73 |
$140 |
| Drug screen (urine) |
$96 |
$384 |
$114 |
$17 |
| Ear pressure test (tympanometry) |
$12 |
$32 |
$36 |
$16 |
| Echocardiogram |
$112 |
$223 |
$244 |
$138 |
| Electroencephalogram (EEG) |
$391 |
$782 |
$232 |
$448 |
| Electrolyte panel |
$13 |
$54 |
$35 |
$7 |
| Electromyography (EMG) |
$77 |
$154 |
$88 |
$141 |
| Emergency department visit |
$82 |
$273 |
$267 |
$69 |
| Endometrial biopsy |
$40 |
$99 |
$207 |
$98 |
| Estradiol (estrogen) test |
$43 |
$173 |
$137 |
$28 |
| Eye refraction (glasses prescription) |
$14 |
$28 |
$17 |
— |
| Fallopian tube X-ray (HSG) |
$65 |
$131 |
$244 |
$164 |
| Family therapy session |
$65 |
$167 |
$141 |
$110 |
| Ferritin (iron) test |
$21 |
$84 |
$63 |
$14 |
| Flu vaccine |
$14 |
$28 |
$23 |
— |
| Foreign body removal (skin) |
$76 |
$213 |
$345 |
$157 |
| Free T4 thyroid test |
$14 |
$56 |
$44 |
$9 |
| Gallbladder scan (HIDA) |
$213 |
$811 |
$429 |
$334 |
| GGT liver test |
$11 |
$44 |
$35 |
$7 |
| Group therapy session |
$23 |
$46 |
$85 |
$30 |
| Hearing test (audiometry) |
$37 |
$73 |
$29 |
$36 |
| Hematocrit test |
$3 |
$12 |
$17 |
$2 |
| Hepatitis A vaccine |
$40 |
$106 |
$84 |
— |
| Hepatitis B vaccine |
$33 |
$89 |
$71 |
— |
| Hip arthroscopy |
$1,429 |
$2,858 |
$1,312 |
$931 |
| Home sleep apnea test |
$65 |
$130 |
$63 |
$123 |
| HPV vaccine |
$142 |
$378 |
$302 |
— |
| Ileostomy |
$240 |
$479 |
$1,334 |
$968 |
| IUD removal |
$36 |
$72 |
$310 |
$112 |
| IV infusion therapy |
$76 |
$245 |
$116 |
$44 |
| Kidney scan (nuclear) |
$186 |
$690 |
$555 |
$172 |
| Kidney ultrasound |
$67 |
$134 |
$107 |
$84 |
| Knee replacement |
$19,050 |
$76,202 |
$36,393 |
$18,054 |
| Lactate test |
$18 |
$72 |
$57 |
$12 |
| Laminectomy (spine) |
$1,238 |
$2,476 |
$1,623 |
$1,157 |
| LDH test |
$25 |
$101 |
$80 |
$6 |
| Leg vein ultrasound (Doppler) |
$135 |
$270 |
$156 |
$150 |
| Lipid (cholesterol) panel |
$21 |
$83 |
$66 |
$13 |
| Liver function panel |
$13 |
$50 |
$40 |
$8 |
| Lung scan (V/Q) |
$208 |
$785 |
$555 |
$291 |
| Magnesium blood test |
$10 |
$41 |
$32 |
$7 |
| MMR vaccine |
$44 |
$117 |
$94 |
— |
| MRA of the brain |
$267 |
$1,001 |
$356 |
$226 |
| MRA of the neck |
$518 |
$2,070 |
$356 |
$245 |
| MRI of the abdomen |
$238 |
$848 |
$356 |
$300 |
| MRI of the ankle |
$366 |
$1,364 |
$356 |
$261 |
| MRI of the brain |
$338 |
$1,245 |
$356 |
$269 |
| MRI of the chest |
$251 |
$896 |
$356 |
$371 |
| MRI of the knee |
$278 |
$556 |
$379 |
$315 |
| MRI of the lower back (lumbar spine) |
$371 |
$1,378 |
$356 |
$270 |
| MRI of the mid-back (thoracic spine) |
$373 |
$1,383 |
$356 |
$271 |
| MRI of the neck (cervical spine) |
$270 |
$540 |
$346 |
$274 |
| MRI of the pelvis |
$336 |
$1,240 |
$356 |
$268 |
| MRI of the shoulder |
$369 |
$1,376 |
$378 |
$313 |
| MRI of the wrist |
$571 |
$2,284 |
$356 |
$330 |
| Nebulizer breathing treatment |
$130 |
$518 |
$224 |
$9 |
| Neck (cervical) spinal fusion |
$1,566 |
$3,133 |
$1,961 |
$1,410 |
| Nerve conduction study |
$64 |
$128 |
$73 |
$118 |
| Newborn hospital care |
$65 |
$131 |
$63 |
$58 |
| Nuchal translucency ultrasound |
$86 |
$171 |
$107 |
$116 |
| Nuclear cardiac stress test |
$384 |
$768 |
$1,042 |
$428 |
| Occupational therapy evaluation |
$73 |
$292 |
$231 |
$101 |
| Office visit (established patient) |
$84 |
$199 |
$152 |
$115 |
| Office visit (new patient) |
$109 |
$363 |
$230 |
$177 |
| Ovary removal (oophorectomy) |
$258 |
$516 |
$895 |
$822 |
| Pacemaker insertion |
$22,622 |
$90,487 |
$40,344 |
$15,506 |
| Pap smear (cervical screening) |
$11 |
$22 |
$18 |
$20 |
| Pelvic ultrasound |
$61 |
$122 |
$107 |
$78 |
| Physical therapy evaluation |
$87 |
$346 |
$274 |
$98 |
| Pneumonia vaccine |
$144 |
$288 |
$182 |
— |
| Pregnancy blood test (hCG) |
$12 |
$45 |
$66 |
$8 |
| Pregnancy ultrasound |
$102 |
$203 |
$107 |
$126 |
| Prolactin test |
$30 |
$120 |
$95 |
$19 |
| Psychiatric evaluation |
$116 |
$266 |
$181 |
$188 |
| Psychotherapy session |
$68 |
$185 |
$150 |
$140 |
| Pulmonary rehabilitation |
$77 |
$154 |
$60 |
$87 |
| Retina scan (OCT) |
$18 |
$35 |
$23 |
$33 |
| Retinal (fundus) photography |
$29 |
$57 |
$96 |
$37 |
| Retinal detachment repair |
$1,139 |
$2,277 |
$1,434 |
$966 |
| Routine eye exam |
$49 |
$97 |
$57 |
$88 |
| RSV vaccine |
$203 |
$406 |
$325 |
— |
| Scoliosis spine X-ray |
$52 |
$126 |
$89 |
$58 |
| Screening colonoscopy |
$169 |
$675 |
$700 |
$378 |
| Screening mammogram |
$69 |
$241 |
$314 |
$126 |
| Scrotal ultrasound |
$85 |
$169 |
$107 |
$99 |
| Sex hormone binding globulin test |
$34 |
$134 |
$106 |
$22 |
| Shingles vaccine |
$99 |
$265 |
$212 |
— |
| Simple wound stitches |
$46 |
$103 |
$205 |
$127 |
| Skin biopsy |
$47 |
$155 |
$415 |
$121 |
| Skin cancer lesion removal |
$93 |
$246 |
$415 |
$240 |
| Skin graft |
$448 |
$896 |
$3,513 |
$898 |
| Skin tag removal |
$37 |
$122 |
$205 |
$92 |
| Sleep study (polysomnography) |
$412 |
$988 |
$823 |
$691 |
| Small bowel resection |
$282 |
$563 |
$1,573 |
$1,136 |
| Speech therapy |
$72 |
$286 |
$227 |
$76 |
| Spine fracture repair (kyphoplasty) |
$1,296 |
$2,591 |
$3,420 |
$5,803 |
| Stomach removal (gastrectomy) |
$335 |
$669 |
$2,130 |
$1,595 |
| Stress echocardiogram |
$165 |
$331 |
$462 |
$209 |
| Swallow study |
$235 |
$939 |
$744 |
$85 |
| Tdap (tetanus) vaccine |
$23 |
$60 |
$48 |
— |
| Testosterone test |
$27 |
$106 |
$84 |
$26 |
| Thyroid ultrasound |
$96 |
$192 |
$107 |
$109 |
| Thyroid uptake scan |
$221 |
$884 |
$408 |
$145 |
| Total protein test |
$14 |
$54 |
$43 |
$4 |
| Transvaginal ultrasound |
$101 |
$203 |
$107 |
$118 |
| Trigger finger release |
$293 |
$606 |
$1,400 |
$630 |
| Triglycerides test |
$9 |
$35 |
$28 |
$6 |
| Troponin (heart) test |
$16 |
$64 |
$41 |
$12 |
| Upper GI series (barium) |
$90 |
$317 |
$179 |
$128 |
| Urine microalbumin test |
$8 |
$32 |
$24 |
$5 |
| Vaccine administration |
$19 |
$46 |
$40 |
$19 |
| Vaginal delivery |
$4,996 |
$19,983 |
$8,509 |
$5,487 |
| Visual field test |
$37 |
$73 |
$42 |
$64 |
| Vitamin D test |
$46 |
$183 |
$145 |
$30 |
| Wart removal |
$45 |
$110 |
$183 |
$121 |
| Weight-loss (bariatric) surgery |
$9,055 |
$36,219 |
$23,205 |
$11,645 |
| Well-child visit |
$67 |
$172 |
$118 |
— |
| Whipple procedure (pancreas) |
$718 |
$1,435 |
$4,002 |
$2,871 |
| X-ray of the abdomen |
$30 |
$60 |
$56 |
$36 |
| X-ray of the ankle |
$32 |
$65 |
$73 |
$37 |
| X-ray of the collarbone |
$29 |
$57 |
$71 |
$33 |
| X-ray of the elbow |
$29 |
$57 |
$71 |
$33 |
| X-ray of the facial bones |
$33 |
$67 |
$82 |
$39 |
| X-ray of the foot |
$30 |
$60 |
$72 |
$34 |
| X-ray of the forearm |
$26 |
$51 |
$70 |
$29 |
| X-ray of the hand |
$33 |
$67 |
$74 |
$38 |
| X-ray of the hip |
$36 |
$85 |
$89 |
$49 |
| X-ray of the knee |
$33 |
$84 |
$89 |
$42 |
| X-ray of the lower back (lumbar spine) |
$40 |
$79 |
$95 |
$47 |
| X-ray of the lower leg |
$28 |
$56 |
$70 |
$31 |
| X-ray of the mid-back (thoracic spine) |
$31 |
$62 |
$85 |
$36 |
| X-ray of the neck (cervical spine) |
$40 |
$81 |
$88 |
$47 |
| X-ray of the pelvis |
$29 |
$58 |
$87 |
$36 |
| X-ray of the ribs |
$33 |
$67 |
$79 |
$42 |
| X-ray of the shoulder |
$30 |
$60 |
$72 |
$36 |
| X-ray of the skull |
$34 |
$68 |
$89 |
$40 |
| X-ray of the upper arm |
$28 |
$57 |
$70 |
$32 |
| X-ray of the wrist |
$37 |
$75 |
$77 |
$43 |
Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.